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Home My WebLink About213210 09/25/2012 a�yf CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 0 ` ONE CIVIC SQUARE UPS CHECK AMOUNT: $38.28 CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132-0577 CHECK NUMBER: 213210 CHECK DATE: 9/2512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A372 38 . 28 OTHER EXPENSES Delivery Service Invoice Adom Invoice date September 15, 2012 Shipped from: Invoice number 000076V77A372 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID OOR2 TM WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300024699 Visit ups.com/billing AT 01 021250 73542H 69 D**3DGT For questions about your invoice,call: (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00 a.m.-9:00 p.m.E.T. ® 3450 W 131ST ST or write: CARMEL, IN 46074-8267 UPS P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $38,28 Summary of Charges Amount Outstanding(prior invoices) $18.24 Page C arge Total Amount Outstanding $56.52 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $38.28 your payment.See Account Status for details. Amount due this period $38.28 Questions about your charges? '-- L To get.a.better_understanding_of-the-charges-on your invoice, UPS payment terms require payment of this invoice by_$eptember__ visit our invoice guide and glossary of billing charges at 26,2012. ups.COm/invoiceguide. Note:This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 7.046 for UPS Ground Services and 11.5%for UPS Air Services,UPS 3 Day Select,and International services.For more information, visit ups.com. o V1i = Delivery Service In voice Invoice date September 15, 2012 OT.M Invoice number 000076V77A372 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A322 08/11/2012 $18.32 Account Status Weekly Payment Plan Amount Outstanding(prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 000076V77A352 09/01/2012 $18.24 Total $18.24 Outstanding balances reflect any payments received as of 09/1412012.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service In voice Invoice date September 15, 2012 Invoice number 000076V77A372 Shipper number 76V77A TM Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 08/31 1 Z76V77A0399465901 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.60 Total 9.12 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver:Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 09/07 1Z76V77A0395158116 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.60 Total 9.12 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver:Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 09/12 1 Z76V77A0392836460 Ground Commercial 46202 2 8 10.21 Fuel Surcharge 0.71 Total 10.92 1st ref:Radionuclides UserlD:CarmelWater Sender :Michelle Breedlove Receiver:Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 - – -— -- 1Z76V77A0393976254 Ground Commercial 46202 2 2 -- --- -- - 8.52 Fuel Surcharge 0.60 Total 9.12 — 1st ref:Weekly Fluoride Samples UserlD:CarmelWater Sender :Michelle Breedlove Receiver:Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health — 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet-ID:CarmelWater 38.28 Total UPS Internet Shipping 4 Package(s) 38.28 Total Outbound 4 Package(s) 38.28 VOUCHER # 122183 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 76V77A372 01-6360-03 $38.28 Voucher Total $38.28 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 314125 UPS Purchase Order No. LOCKBOX 577 Terms CAROL STREAM, IL 60132 Due Date 9/19/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/19/2012 76V77A372 $38.28 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 91"//Z-- �-^mot' P- - Date Officer